S M GOLAM KIBRIAUL ALAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036901

License Status

EXPIRED

Business

First Name

S M GOLAM

Middle

KIBRIAUL

Last Name

ALAM

Suffix

Business Name

S M GOLAM KIBRIAUL ALAM MD

Original Issue Date

06/24/1997

Effective Date

06/24/1997

Expiration Date

06/24/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006